Complications following dental treatment in a child with haemophilia A: lessons to be learnt.

A boy in his middle childhood with severe haemophilia reported with facial swelling following dental treatment for a carious upper primary molar done at a private dental clinic elsewhere. On presentation, he had a large, tense and tender swelling of the left cheek and a haematoma on the buccal mucosa adjacent to the treated tooth. The child was found to have a low haemoglobin level. He was taken for an emergency procedure under general anaesthesia for dental extraction with incision and drainage, and simultaneously underwent packed cells and factor replacement. He recovered in the ward postoperatively with no complications and with a gradual reduction of the swelling. This report highlights the importance of caries prevention in children, especially those with haemophilia. They need to be educated about restricting cariogenic foods in their diet and maintaining good oral hygiene. Management of such patients should be carefully coordinated to minimise undesirable outcomes.

Impacted foreign bodies in the faciomaxillary region: a multidisciplinary approach.

A man in his 20s came for maxillofacial consultation with a pus discharge from the left preauricular region for the last 1 year. He had met with a road traffic accident 2 years earlier and had received surgical treatment for injuries associated with the same. Investigations revealed multiple impacted foreign bodies deep within his facial structures. Successful surgical removal of the objects required a multidisciplinary effort between maxillofacial surgeons and otorhinolaryngologists. Complete removal of all the impacted wooden pieces was done through a combined endoscopic and open preauricular approach. The patient made a rapid recovery postoperatively with minimal complications.